Psychiatric-Mental Health Practice Exam HESI
COMPREHENSIVE TEST BANK FINAL EXAM \ACTUAL TEST BANK
EXAM , COMPLETE 600 QUESTIONS AND CORRECT DETAILED
ANSWERS\ VERIFIED 100% \LATEST UPDATE BESR FOR EXAM
PREP 2026 -2027
What should the nurse do when an adolescent girl with the diagnosis of anorexia
nervosa starts to discuss food and eating?
1
Listen to the client's list of favorite foods and secure these foods for
her. 2
Use the client's current interest in food to encourage her to increase her food
intake. 3
Let the client talk about food as long as she wants and limit discussion about her
eating.
4
Tell the client gently but firmly to direct her discussion of food to the nutritionist.
4All food issues should be discussed with the nutritionist, thereby removing a
potential source of conflict between the nurse and client. Listening to the client's
list of favorite foods and securing these foods for her will accomplish little
because the client's failure to eat is not based on food likes or dislikes. Using the
client's current
interest in food to encourage her to increase her food intake will increase the
conflict between the nurse and client. Letting the client talk about food as long
as she wants and limiting discussion about her eating may be self-defeating
because a discussion of food will be the major focus of all nurse-client
interactions.
,A nurse who works in a mental health facility determines that the priority nursing
intervention for a newly admitted client with bulimia nervosa is to:
1
Check on the client continuall.
2
Observe the client during meals.
3
Teach the client to measure intake and output
4
Involve the client in developing a daily meal plan.
1Bulimic clients often hide food or force vomiting; therefore they must be carefully
observed. Observing the client during meals is insufficient because these clients
may induce vomiting after eating. Fluid and electrolyte balance can become a
problem for these clients and monitoring is required, but at this time it is the
responsibility of the nurse, not the client, to measure intake and output. These
clients will not become involved in planning meals; this is a long-term goal.
,A 37-year-old man has been remanded by the court to the drug rehabilitation unit of
a psychiatric facility for treatment of cocaine addiction. When taking his health
history, what characteristics should the nurse expect the client to report? Select all
that apply.
1
Anxiety
2
Weight loss
3
Palpitations
4
Sedentary habits
5
Difficulties with speech
123Cocaine, an alkaloid stimulant, can precipitate anxiety, hypervigilance, euphoria,
agitation, and anger. The loss of appetite and increased metabolic rate associated
with cocaine addiction both promote weight loss. Cocaine is a stimulant that has
cardiac effects such as tachycardia and dysrhythmias. Sedentary habits are
associated with barbiturate addiction. Difficulties with speech are associated with
other addictions such as alcohol and methadone.
, A client being admitted for alcoholism reports having had alcoholic blackouts. The
nurse knows that an alcoholic blackout is best described as:
1
A fugue state resembling absence
seizures
2
Fainting spells followed by loss of
memory
3
Loss of consciousness lasting less than 10
minutes
4
Absence of memory in relation to drinking episodes
4
Although the exact cause is unclear, alcoholic blackouts appear to result from
responses of central nervous system cells to the substance. The individual does
not have any type of seizure during the blackout. Fainting is not associated with
the
blackout. The individual loses memory but not consciousness.
A nurse notes that haloperidol (Haldol) is most effective for clients who exhibit
behavior that is:
1
Depresse
d
2
Withdrawn
3
Manipulative
4
Overactive
4
COMPREHENSIVE TEST BANK FINAL EXAM \ACTUAL TEST BANK
EXAM , COMPLETE 600 QUESTIONS AND CORRECT DETAILED
ANSWERS\ VERIFIED 100% \LATEST UPDATE BESR FOR EXAM
PREP 2026 -2027
What should the nurse do when an adolescent girl with the diagnosis of anorexia
nervosa starts to discuss food and eating?
1
Listen to the client's list of favorite foods and secure these foods for
her. 2
Use the client's current interest in food to encourage her to increase her food
intake. 3
Let the client talk about food as long as she wants and limit discussion about her
eating.
4
Tell the client gently but firmly to direct her discussion of food to the nutritionist.
4All food issues should be discussed with the nutritionist, thereby removing a
potential source of conflict between the nurse and client. Listening to the client's
list of favorite foods and securing these foods for her will accomplish little
because the client's failure to eat is not based on food likes or dislikes. Using the
client's current
interest in food to encourage her to increase her food intake will increase the
conflict between the nurse and client. Letting the client talk about food as long
as she wants and limiting discussion about her eating may be self-defeating
because a discussion of food will be the major focus of all nurse-client
interactions.
,A nurse who works in a mental health facility determines that the priority nursing
intervention for a newly admitted client with bulimia nervosa is to:
1
Check on the client continuall.
2
Observe the client during meals.
3
Teach the client to measure intake and output
4
Involve the client in developing a daily meal plan.
1Bulimic clients often hide food or force vomiting; therefore they must be carefully
observed. Observing the client during meals is insufficient because these clients
may induce vomiting after eating. Fluid and electrolyte balance can become a
problem for these clients and monitoring is required, but at this time it is the
responsibility of the nurse, not the client, to measure intake and output. These
clients will not become involved in planning meals; this is a long-term goal.
,A 37-year-old man has been remanded by the court to the drug rehabilitation unit of
a psychiatric facility for treatment of cocaine addiction. When taking his health
history, what characteristics should the nurse expect the client to report? Select all
that apply.
1
Anxiety
2
Weight loss
3
Palpitations
4
Sedentary habits
5
Difficulties with speech
123Cocaine, an alkaloid stimulant, can precipitate anxiety, hypervigilance, euphoria,
agitation, and anger. The loss of appetite and increased metabolic rate associated
with cocaine addiction both promote weight loss. Cocaine is a stimulant that has
cardiac effects such as tachycardia and dysrhythmias. Sedentary habits are
associated with barbiturate addiction. Difficulties with speech are associated with
other addictions such as alcohol and methadone.
, A client being admitted for alcoholism reports having had alcoholic blackouts. The
nurse knows that an alcoholic blackout is best described as:
1
A fugue state resembling absence
seizures
2
Fainting spells followed by loss of
memory
3
Loss of consciousness lasting less than 10
minutes
4
Absence of memory in relation to drinking episodes
4
Although the exact cause is unclear, alcoholic blackouts appear to result from
responses of central nervous system cells to the substance. The individual does
not have any type of seizure during the blackout. Fainting is not associated with
the
blackout. The individual loses memory but not consciousness.
A nurse notes that haloperidol (Haldol) is most effective for clients who exhibit
behavior that is:
1
Depresse
d
2
Withdrawn
3
Manipulative
4
Overactive
4
